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中风后执行功能障碍:对物理治疗师观点的洞察

Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists.

作者信息

Hayes Sara, Donnellan Claire, Stokes Emma

机构信息

a Department of Clinical Therapies, Faculty of Education and Health Sciences , University of Limerick , Ireland .

出版信息

Disabil Rehabil. 2015;37(20):1817-24. doi: 10.3109/09638288.2014.980915. Epub 2015 Jul 9.

DOI:10.3109/09638288.2014.980915
PMID:25374045
Abstract

PURPOSE

To gain an understanding of physiotherapy practice in relation to executive dysfunction (ED) post-stroke.

METHOD

Three focus groups were conducted using semi-structured interview schedules to highlight how ED post-stroke was understood by 12 physiotherapists with greater than 1 year of experience working in the area of stroke care. The focus group data were analysed using qualitative data analysis.

RESULTS

The themes extracted from the data on physiotherapists' self-reported knowledge of ED post-stroke were: physiotherapists' lack of knowledge of ED post-stroke; current physiotherapy practice regarding ED post-stroke; the negative impact of ED on physiotherapy rehabilitation post-stroke and the future learning needs of physiotherapists regarding ED post-stroke.

CONCLUSIONS

Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has negative implications for physiotherapy rehabilitation post-stroke and physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation.

摘要

目的

了解与中风后执行功能障碍(ED)相关的物理治疗实践。

方法

采用半结构化访谈提纲进行了三个焦点小组讨论,以突出12名在中风护理领域有超过1年工作经验的物理治疗师对中风后ED的理解。使用定性数据分析焦点小组数据。

结果

从关于物理治疗师对中风后ED的自我报告知识的数据中提取的主题有:物理治疗师对中风后ED缺乏了解;当前关于中风后ED的物理治疗实践;ED对中风后物理治疗康复的负面影响以及物理治疗师对中风后ED的未来学习需求。

结论

目前的结果表明,ED对中风后物理治疗康复有负面影响。尽管有必要进行进一步的跨学科研究,但目前的结果表明,物理治疗师应意识到中风患者中存在ED,并制定策略以尽量减少ED对物理治疗康复的影响。对康复的启示物理治疗师报告缺乏对中风后ED的了解,以及对中风后接受物理治疗康复的ED患者的最佳管理进行未来学习和培训的需求。ED对中风后物理治疗康复有负面影响,物理治疗师应意识到中风患者中存在ED,并制定策略以尽量减少ED对物理治疗康复的影响。

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